Organization Active NPI

Decatur City Taxi & Delivery Inc

  • Taxi
  • Decatur, IL
National Provider Identifier
1295126837
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
DECATUR CITY TAXI & DELIVERY INC
Practice address
411 E William St
Decatur, IL 62523-1140
Phone
(217) 330-7960
NPI assigned
Feb 17, 2015
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Scott Boliard
Title
Manager
Phone
(217) 330-7960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Taxi 344600000X NU Primary

Addresses

Primary practice location

411 E William St
Decatur, IL 62523-1140

Mailing address

411 E William St
Decatur, IL 62523-1140
Phone (217) 330-7960

National Provider Directory

National Provider Directory

Locations

411 E William St
Decatur, IL 62523
Phone (217) 330-7960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1295126837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E WILLIAM ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231140",
            "telephone_number": "217-330-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E WILLIAM ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231140",
            "telephone_number": "217-330-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR CITY TAXI & DELIVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "BOLIARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-330-7960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.